Low back pain - how to treat at home

lumbar pain

Many modern people learn how to hurt the lower back at a very young age. Often the characteristic pulling pains appear for the first time at the age of 25 - 27 years. This is the age when the process of formation of the spine ends.

In this article you will learn why back pain in the lumbar region and how to treat at home the main diseases accompanied by a similar clinical symptom. Find tips for choosing the right specialist. Get information about modern effective therapies without harming your health.

Let's start by telling you exactly what can hurt in the lumbar region - what structural tissues there are and what they are responsible for. The base consists of bone tissue. It forms the five lumbar vertebrae and their growths, the sacrum and the ilio-sacral joints. The sacrum also has 5 vertebrae, but by the age of 23-25 they grow together into a triangular bone.

Cartilage is located between the vertebrae. These are the intervertebral discs, each of which has a fibrous ring (dense elastic membrane) and a pulpal nucleus (internal gelatinous body with a gel-like structure). These formations ensure even distribution of the damping and mechanical loads. They maintain the physiological height of the intervertebral spaces. This is very important to avoid compression and damage to the radicular nerves extending from the spinal cord through the foraminal opening in the vertebral bodies.

Nerve fibers are also a natural tissue that is very abundant in the lumbar region. First of all, this is the structure of the spinal cord - the central part of the human autonomic nervous system. With its help all body functions are effectively controlled. Vessels, hearts, liver, gallbladder, intestines and so on work under his control. Without the influence of the autonomic nervous system, a person is not even able to raise his eyelashes and open his eyes. This is a very important part of the body.

The paired radicular nerves extend from the spinal cord, which is covered with hard membranes. They exit through the lateral openings of each vertebra. Responsible for the innervation of certain parts of the body. Together, the lumbar and sacral radicular nerves form the lumbosacral plexus through their branches. Large nerves deviate from it: sciatic, femoral, inguinal, obstructive, lateral subcutaneous.

The stability of the lumbar spine and the entire spine is ensured by the ligament apparatus. There are short transverse and long longitudinal connections. Sprains, tears and scarring often cause low back pain in young and active people. In addition to ligaments, tendons and paravertebral muscles are involved in this matter.

I would like to tell a little more about the latter. The paravertebral muscles, in addition to ensuring the stability of the position of the vertebrae and its flexibility, are responsible for the diffuse nutrition of the cartilaginous tissue of the intervertebral discs.

The fibrous ring and the pulpal nucleus of the disc are completely devoid of their own circulatory system. They can receive fluid and food only in the course of diffuse exchange between them and the surrounding paravertebral muscles. If the muscle fiber is weakened and cannot contract completely, then a degenerative destructive process begins. The intervertebral discs become dehydrated and lose their elasticity and height. They cease to protect the radicular nerves from compression by the vertebral bodies.

Also in the area of the spine in the lumbar region are the soft tissues, blood and lymph vessels. They can also be exposed to various factors of negative influence. We will talk more about the causes of lumbar pain later in the article.

The reasons why the lower back hurts

Before treatment, it is necessary to determine the reasons why the lower back hurts - only the etiological effect makes it possible to ensure complete recovery of the patient.

For example, if the lower back hurts due to the displacement of the body of the vertebrae or intervertebral disc, then it is completely useless to treat osteochondrosis with nonsteroidal anti-inflammatory drugs in such a situation. Or rather, it is even harmful. But to put the displaced vertebra or intervertebral disc in its place, to strengthen the surrounding muscles, ligaments and tendons is already the right way. In this way, the doctor completely restores the physiological state of the tissues and relieves the patient's pain.

So, let's see what are the causes of low back pain:

  • osteochondrosis - degenerative dystrophic damage to the tissues of the fibrous ring due to impaired diffuse nutrition;
  • complications of osteochondrosis, for example, a decrease in the height of the disc with an increase in the occupied area (stage of protrusion) or rupture of the fibrous ring with the exit through the crack of part of the pulpal nucleus (intervertebral hernia);
  • instability of the position of the vertebral bodies and their periodic displacement relative to the central axis and from each other in the type of antelistesis and retrolistezas;
  • spinal canal stenosis, including provoked by displacement of the spine or prolapse of the intervertebral hernia in the spinal canal;
  • stretching and microscopic rupture of tendon and tendon tissue, including the subsequent process of rough scarring - pressure is exerted on the nerve fiber, which provokes pain;
  • inflammation of muscle fibers - myositis (ischemic, infectious, aseptic, traumatic, calcifying, etc. );
  • fractures and cracks of the vertebral bodies and their processes, including the subsequent formation of rough calluses;
  • deposition of calcium salts on the bodies of the vertebrae and their processes (osteophytes);
  • piriform syndrome;
  • coccyx syndrome;
  • curvature of the spine, poor posture and torsion of the pelvic bones;
  • destruction of the iliosacral joints of the bones.

This is not a complete list of causes of lower back pain - before treatment an experienced doctor will collect data from the patient's medical history, compare them with the parameters obtained during the study and make appropriate conclusions about what isled to the development of a specific disease.

The following aspects can be provocative factors for the development of lumbar pain:

  1. overweight - the greater a person's body weight, the greater the load on the tissues of the spine, the faster they break down;
  2. leading a sedentary lifestyle in which there is not enough physical impact on the muscles of the back, they do not work and the process of diffuse nutrition of the cartilaginous intervertebral discs is disrupted;
  3. improper organization of the place of work and night sleep;
  4. violation of the rules for choosing appropriate clothes and shoes;
  5. heavy physical work with excessive tension in the muscles of the lumbar region;
  6. posture disorder, the habit of bending over;
  7. lumbar injuries;
  8. improper leg mounting;
  9. alcohol consumption and smoking - provoke a violation of the microcirculation of blood and lymph fluid, which leads to a violation of tissue trophism.

See an experienced doctor to help you identify a potential cause and eliminate it from your life. This will be the first step towards recovery.

Lower back pain - symptoms, how to check

And now let's talk about how to check if the lower back hurts - what examinations are worth going through and what symptoms you should pay attention to. Before you check if your lower back hurts, you should make an appointment with a vertebrologist or neurologist. These doctors will be able to make the correct preliminary diagnosis during the initial examination. Depending on this, they will recommend a number of additional examinations.

Most often, the examination begins with an overview X-ray of the lumbar spine. In the photo the doctor can see fractures, cracks, osteophytes, reduction in the height of the intervertebral spaces, destruction and deformation of the joints, displacement of the vertebral bodies. An MRI scan is needed to assess the condition of the soft tissues (discs, ligaments, tendons, muscles). According to the indications, ultrasound of internal organs, electromyography and electroneurography can be performed.

How to know that the lower back hurts - the answer to this question is unlikely to be difficult for someone who has at least once encountered such a manifestation of the disease. Lower back pain is hard to confuse with anything else.

It can be acute, limiting, in the form of lumbago, dull, constant, etc. Depending on the nature of the pain, the doctor will be able to make a preliminary diagnosis. How to know that your lower back hurts - you should try to lean forward and reach the floor with your fingers. If this causes an increase in pain attack, then there is no doubt. The pain is related to the destruction of the tissues of the spine.

The second thing that is worth paying attention to is the palpation of the spiny growths on the spine. if the spine collapses, it is always sharply painful. It is best to have the drilling done by another person. It is impossible to objectively compare the strength of the pressure and the degree of manifestation of pain.

Other symptoms of low back pain:

  • the pain may radiate to the lower limb;
  • there is weakness in the leg on the side of the lesion of the radicular nerve or its branch;
  • the muscles in the focus of the lesion are too tense, they can not be relaxed without therapeutic action;
  • mobility is severely limited;
  • colon and bladder dysfunction (constipation and urinary retention) may occur.

All these symptoms indicate that the spine is affected. You need advice from a vertebrologist or neurologist. Then treatment is performed to repair the damaged tissues of the spine.

Low back pain - what to do, how to treat

If you have lower back pain, you should make a diagnosis before treating it. The point is, pain is just a symptom. You can only treat a disease that is accompanied by this symptom. Otherwise, nothing good will come of it. Symptomatic treatment does not lead to recovery. They lead to the disease becoming chronic. This can lead to future damage to the patient.

So, what to do and how to treat if the lower back hurts from osteochondrosis. You need to start with the procedure of manually pulling the spine. During the procedure, the doctor increases the distance between the vertebral bodies. This helps to dilate the tissues of the intervertebral disc. Compression of the radicular nerve is eliminated. The patient completely eliminates the pain syndrome.

If your back hurts in the lower back, before treatment you need to eliminate all types of shock absorption and physical activity. At home, in the first days, you should provide bed rest. Also, after relieving the pain syndrome, it is necessary to start rehabilitation treatment. Different methods are used for this. Manual therapy, unlike pharmacological drugs, shows positive results.

With the help of a course of manual therapy, patients can cope even with large intervertebral hernias without surgery. Therefore, we strongly recommend that you contact your local chiropractic clinic to treat low back pain.